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格林吻合术晚期失败的非手术治疗。经静脉封堵开放的上腔静脉-右心房连接部。

Nonoperative management of late failure of a Glenn anastomosis. Transvenous wafer occlusion of patent superior vena cava--right atrial junction.

作者信息

Bailey L L, Freedom R M, Fowler R J, Trusler G A

出版信息

J Thorac Cardiovasc Surg. 1976 Mar;71(3):371-5.

PMID:1249968
Abstract

A case is presented illustrating delayed failure of a right Glenn anastomosis due to patency of the superior vena cava-right atrial (SVC-RA) junction. Clinical deterioration was rectified by a unique nonoperative approach. A transvenous catheter was designed, constructed, and used to accurately place an umbrella-like occlusive wafer at the SVC-RA junction. In this manner the integrity of the cavopulmonary shunt was re-established. A gratifying and uncomplicated palliation has thus far been achieved.

摘要

本文介绍了一例因上腔静脉-右心房(SVC-RA)连接处通畅导致右格林吻合术延迟失败的病例。通过一种独特的非手术方法纠正了临床恶化情况。设计、制作并使用了一根经静脉导管,将一个伞状阻塞薄片准确放置在SVC-RA连接处。通过这种方式,重建了腔肺分流的完整性。迄今为止,已实现了令人满意且无并发症的姑息治疗效果。

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1
Nonoperative management of late failure of a Glenn anastomosis. Transvenous wafer occlusion of patent superior vena cava--right atrial junction.格林吻合术晚期失败的非手术治疗。经静脉封堵开放的上腔静脉-右心房连接部。
J Thorac Cardiovasc Surg. 1976 Mar;71(3):371-5.
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Long-term effect of the superior vena cava-pulmonary artery anastomosis on pulmonary blood flow.上腔静脉-肺动脉吻合术对肺血流的长期影响。
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[A successful two-staged Fontan procedure for tricuspid atresia with bilateral superior venae cavae and left pulmonary arterial stenosis].[成功施行两阶段Fontan手术治疗三尖瓣闭锁合并双侧上腔静脉及左肺动脉狭窄]
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[Anastomosis of the superior vena cava and the right pulmonary artery--Glenn method].[上腔静脉与右肺动脉吻合术——格伦法]
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Physiological rationale for a bidirectional cavopulmonary shunt. A versatile complement to the Fontan principle.双向腔肺分流的生理学原理。对Fontan原则的一种通用补充。
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Results of total cavopulmonary connection in the treatment of patients with a functional single ventricle.功能性单心室患者全腔静脉肺动脉连接术的治疗结果
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Transvenous double-balloon occlusion of the persistent ductus arteriosus: an experimental study.
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